PMID- 15316975 OWN - NLM STAT- MEDLINE DCOM- 20050318 LR - 20221207 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 129A IP - 2 DP - 2004 Aug 30 TI - A de novo complex karyotype with two independent balanced translocations and a double inversion of chromosome 6 presenting with multiple congenital anomalies. PG - 124-9 AB - We report a 4-year-old female with a de novo complex karyotype with multiple chromosomal rearrangements and a distinctive phenotype. Her medical history is significant for having been a twin born at 35 weeks gestation, breech presentation, with feeding problems and poor growth as an infant, gastroesophageal reflux disease, peripheral pulmonic stenosis, omphalocele, high myopia, and severe mental retardation. She is small for her age with microcephaly, posteriorly sloping forehead, shallow orbits, long palpebral fissures, prominent nose, wide mouth, absent uvula, kyphosis, brachydactyly, bridged palmar crease, and hypertonia. Peripheral blood lymphocytes revealed a karyotype of 46,XX,t(1;12)(p22.3;q21.3),inv(6)(p24q23),t(7;18)(q11.2;q21.2) in all cells. Parental karyotypes and that of her twin were normal. Spectral Karyotyping (SKY) and fluorescence in situ hybridization (FISH) with whole chromosome paints for chromosomes 1, 6, 7, 12, and 18 did not reveal additional rearrangements. Prometaphase G-banding analysis suggested that the "inverted" chromosome 6 might contain a cryptic rearrangement. Although no deletion nor duplication was detected using metaphase comparative genomic hybridization (CGH), multicolor high resolution banding (mBAND) demonstrated a double inversion of chromosome 6, resulting in a final karyotype as above but including der(6)(pter --> p23::q21 --> q22.3::q21 --> p23::q22.3 --> qter). CI - Copyright 2004 Wiley-Liss, Inc. FAU - Kline, Antonie D AU - Kline AD AD - Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, Maryland 21204, USA. Akline@gbmc.org FAU - Griffin, Constance A AU - Griffin CA FAU - Haddadin, Mary H AU - Haddadin MH FAU - Chudoba, Ilse AU - Chudoba I FAU - Morsberger, Laura A AU - Morsberger LA FAU - Hawkins, Anita L AU - Hawkins AL FAU - Amato, R Stephen AU - Amato RS FAU - Munshi, Gaurang AU - Munshi G FAU - Cohen, Maimon M AU - Cohen MM LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Abnormalities, Multiple/*genetics MH - Black or African American MH - Child, Preschool MH - *Chromosome Aberrations MH - Chromosome Disorders/*genetics MH - Chromosomes, Human, Pair 6/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/*genetics MH - Nucleic Acid Hybridization MH - *Phenotype MH - Spectral Karyotyping EDAT- 2004/08/19 05:00 MHDA- 2005/03/19 09:00 CRDT- 2004/08/19 05:00 PHST- 2004/08/19 05:00 [pubmed] PHST- 2005/03/19 09:00 [medline] PHST- 2004/08/19 05:00 [entrez] AID - 10.1002/ajmg.a.30130 [doi] PST - ppublish SO - Am J Med Genet A. 2004 Aug 30;129A(2):124-9. doi: 10.1002/ajmg.a.30130.